Civic Intelligence

Carolina Medicorp Inc Medical Care

EIN 58-1738516 • 501(c)9 • Winston Salem, NC

Profile

To provide medical and dental benefits for employees and retirees.

2085 Frontis Plaza BlvdWinston Salem, NC 27103

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2020

Liabilities / Revenue

80th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • <$500k nonprofits • Source year 2020

Net Margin

99th percentile

100%

Higher net margin than 99% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2020

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)9 • <$500k nonprofits • Source year 2020

Asset Growth

46th percentile

-100%

Faster asset growth than 46% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

49th percentile

-33%

Faster revenue growth than 49% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2019 to 2020

Assets

Down

$0

Down $90,355 (-100%) from 2019

Liabilities

Down

$0

Down $3,376 (-100%) from 2019

Net Assets

Down

$0

Down $86,979 (-100%) from 2019

Revenue

Down

$3,793

Down $1,878 (-33%) from 2019

Expenses

Down

$0

Down $3,376 (-100%) from 2019

Net Income

Up

$3,793

Up $1,498 (+65%) from 2019

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150K$100K$50K$0Assets 2010: $116,708Liabilities 2010: $0Net Assets 2010: $116,7082010Assets 2011: $99,535Liabilities 2011: $0Net Assets 2011: $99,5352011Assets 2012: $103,909Liabilities 2012: $3,686Net Assets 2012: $100,2232012Assets 2013: $108,034Liabilities 2013: $14,797Net Assets 2013: $93,2372013Assets 2014: $97,683Liabilities 2014: $3,180Net Assets 2014: $94,5032014Assets 2017: $89,520Liabilities 2017: $4,438Net Assets 2017: $85,0822017Assets 2018: $87,498Liabilities 2018: $2,814Net Assets 2018: $84,6842018Assets 2019: $90,355Liabilities 2019: $3,376Net Assets 2019: $86,9792019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2020

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30K$20K$10K$0-$10K-$20KRevenue 2010: $4,470Expenses 2010: $0Net Income 2010: $4,4702010Revenue 2011: $4,354Expenses 2011: $21,527Net Income 2011: -$17,1732011Revenue 2012: $4,374Expenses 2012: $3,686Net Income 2012: $6882012Revenue 2013: $4,125Expenses 2013: $11,111Net Income 2013: -$6,9862013Revenue 2014: $4,446Expenses 2014: $3,180Net Income 2014: $1,2662014Revenue 2017: $4,546Expenses 2017: $4,438Net Income 2017: $1082017Revenue 2018: $5,518Expenses 2018: $2,814Net Income 2018: $2,7042018Revenue 2019: $5,671Expenses 2019: $3,376Net Income 2019: $2,2952019Revenue 2020: $3,793Expenses 2020: $0Net Income 2020: $3,7932020

Highlighted filing

2020

Revenue$3,793
Expenses$0
Net Income$3,793

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Oct 20, 2020
Signed
Apr 22, 2021
Return Version
2020v4.1
Gross Receipts
$3,793
Mission and Program Overview

Mission

To provide medical and dental benefits for employees and retirees.

To provide medical and dental benefits for employees and retirees

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$90,237$0▼ $90,237
Cap Stk Tr Prin Current Funds$84,974$0▼ $84,974
Rtn Earn Endowment Incm Other Fnds$2,005$0▼ $2,005
Accounts Receivable$118$0▼ $118
Cash and Non-Interest-Bearing Accounts-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$90,355$0▼ $90,355
Other Assets Total-$0-
Liabilities
Other Liabilities$3,376$0▼ $3,376
Total Liabilities$3,376$0▼ $3,376
Net Assets / Fund Balance
Total Net Assets Fund Balance$86,979$0▼ $86,979
Total Liabilities and Net Assets / Fund Balance$90,355$0▼ $90,355
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Trustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,582
Investment Income
$211
Other Revenue
$0
Change in Net Assets
$3,793
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 8A

The governing body consists solely of an institutional trustee. As such, meetings do not occur.

Form 990, Part VI, Section A, Line 8B

The governing body consists solely of an institutional trustee. As such, meetings do not occur.

Form 990, Part VI, Section B, Line 11B

After approval of the plan's termination and the transfer of plan assets, the institutional trustee (governing body) was no longer active. The form 990 was filed after this time and as such, a copy was not provided.

Form 990, Part VI, Section C, Line 19

No documents are made available to the public.

Filing and Contact Details

Filer

Filer Name
Carolina Medicorp Inc Medical Care
EIN
58-1738516
Phone
3362771109
Address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103

Signing Officer

Name
Scott Myers
Title
SVP
Phone
3362771109
Signed
2021-04-22

Organization Details

Principal Officer
Scott Myers
Formed
1995
Legal Domicile
Nc
Voting Board Members
1
Independent Board Members
1
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

FORM 990, ITEM F:

Northern trust corporation

Form 990, Part III, Line 3

The entity was dissolved and assets were distributed to novant health, inc., a tax exempt healthcare organization, for distribution of remaining assets to plan participants.

FORM 990, PART XI, LINE 9:

Transfer of fund balance to novant health, inc upon termination of plan -90,772.

Raw XML Appendix306 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsReceivableGrp/BOYAmt0118
IRS990/AccountsReceivableGrp/EOYAmt00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE MEDICAL AND DENTAL BENEFITS FOR EMPLOYEES AND RETIREES
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0NOVANT HEALTH INC
IRS990/BooksInCareOfDetail/PhoneNum03367182803
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt02085 FRONTIS PLAZA BLVD
IRS990/BooksInCareOfDetail/USAddress/CityNm0WINSTON SALEM
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NC
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IRS990/CashNonInterestBearingGrp/EOYAmt00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
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IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0211
IRS990/CYOtherExpensesAmt00
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt03582
IRS990/CYRevenuesLessExpensesAmt03793
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt00
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt03793
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0BENEFITS PAID TO MEMBERS
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt0NORTHERN TRUST CORPORATION
IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd0X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/FormationYr01995
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt01
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt03793
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt01
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt0211
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0211
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0NC
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd00
IRS990/MissionDesc0TO PROVIDE MEDICAL AND DENTAL BENEFITS FOR EMPLOYEES AND RETIREES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt086979
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt0-90772
IRS990/OtherLiabilitiesGrp/BOYAmt03376
IRS990/OtherLiabilitiesGrp/EOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0SCOTT MYERS
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYEE CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt03582
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt03582
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt03376
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt01810
IRS990/PYOtherExpensesAmt00
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt03861
IRS990/PYRevenuesLessExpensesAmt02295
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt03376
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt05671
IRS990/QuidProQuoContributionsInd00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt03793
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt02005
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt090237
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0NOVANT HEALTH INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02020-10-20
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0561376950
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt090772
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0ACTUAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt02085 FRONTIS PLAZA BLVD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0WINSTON SALEM
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0NC
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IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0NORTHERN TRUST CORPORATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ENTITY WAS DISSOLVED AND ASSETS WERE DISTRIBUTED TO NOVANT HEALTH, INC., A TAX EXEMPT HEALTHCARE ORGANIZATION, FOR DISTRIBUTION OF REMAINING ASSETS TO PLAN PARTICIPANTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE GOVERNING BODY CONSISTS SOLELY OF AN INSTITUTIONAL TRUSTEE. AS SUCH, MEETINGS DO NOT OCCUR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE GOVERNING BODY CONSISTS SOLELY OF AN INSTITUTIONAL TRUSTEE. AS SUCH, MEETINGS DO NOT OCCUR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4AFTER APPROVAL OF THE PLAN'S TERMINATION AND THE TRANSFER OF PLAN ASSETS, THE INSTITUTIONAL TRUSTEE (GOVERNING BODY) WAS NO LONGER ACTIVE. THE FORM 990 WAS FILED AFTER THIS TIME AND AS SUCH, A COPY WAS NOT PROVIDED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6TRANSFER OF FUND BALANCE TO NOVANT HEALTH, INC UPON TERMINATION OF PLAN -90,772.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, ITEM F:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 8A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9:
IRS990ScheduleR/AssetExchangeInd00
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IRS990/UponRequestInd0X
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IRS990/USAddress/CityNm0WINSTON SALEM
IRS990/USAddress/StateAbbreviationCd0NC
IRS990/USAddress/ZIPCd027103
IRS990/VotingMembersGoverningBodyCnt01
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IRS990/WebsiteAddressTxt0N/A
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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/PersonNm0SCOTT MYERS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SVP
ReturnHeader/BusinessOfficerGrp/PhoneNum03362771109
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-04-22
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CAROLINA MEDICORP INC MEDICAL CARE
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0PLAN TRUST
ReturnHeader/Filer/BusinessNameControlTxt0CARO
ReturnHeader/Filer/EIN0581738516
ReturnHeader/Filer/PhoneNum03362771109
ReturnHeader/Filer/USAddress/AddressLine1Txt02085 FRONTIS PLAZA BLVD
ReturnHeader/Filer/USAddress/CityNm0WINSTON SALEM
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NC
ReturnHeader/Filer/USAddress/ZIPCd027103
ReturnHeader/ReturnTs02021-04-22T09:50:07-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0SCOTT
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0MYERS
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-10-20
ReturnHeader/TaxYr02020

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